HomeMy WebLinkAboutCONCRETE1142 Water Tower Road, Lake Park FL 33403
Administration Office: 1 877-484-9,994 / Fax: 561-848-1501
South East Florida Division Dispatchb561-844-9994 / Central Florida Division Dispatch: 407-339-5311
Concrete Tested ❑ Yes ❑,No LOT #
Water Added at Customer's
Cylinders Taken ❑ Yes ❑ No -
k . Request
i,'�'"�-
gals. to full load
Comments
�! to 2/3 load
.gals.
gals. to 1/3 load
Customer's Rep - Water Added
' • ', "' - '-�`
NOT RESPONSIBLE FOR
WARNING IRRITATION TO THE SKIN AND EYES
ADDITIONAL WATER ADDED TO THIS
VARIATION IN COLOR OR
Cement polymer or freshly mixed concrete may cause skin injury. Avoid contact with
skin and wash exposed skin areas promptly with water. If any cement powder or
CONCRETE WILL REDUCE ITS STRENGTH
SURFACE DISCOLORATION
mixture gets into eyes, rinse immediately and repeatedly with water and get prompt
medical attention. Keep children away from cement powder and all freshly mixed
AND DURABILITY. ANY WATER ADDED IS
AT CUSTOMER'S OWN RISK.
BATCH TIME
cement products.
Load To Job
���. I� '
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-PLANT
TICKET# ORDER
#
TRUCK #
LOAD SIZE
MIx SLUMP
DATE
CUSTOMER #
SOLDTO
P.O. #
PROJECT#
DELIVERY ADDRRSS
ZONE#
USE
DRIVER
INSTRUCTIONS
TIME DUE
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PRODUCT DESCRIPTION
I.I.O.M.
UNIT PRICE
AMOUNTITI
•
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_
RECEIVED OCT
5 2013
,Id
SIGNATURE OR, RECEIPT_- FONCRETE.AND, ACKNOWLEDGEMENT OF HAZARD WARNING.
asc meyer oncrge a ornpany_w[-not assume liability for any property damage or, any SUB TOTAL
equipment damage for any deliveries beyond -the curb line.
TAX
t
AUTHORIZED BY
UBJECT TO CONDITIONS ON REVERSE SIDE. TOTAL
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